<!DOCTYPE html>
<html>
<head>
    <meta HTTP-EQUIV="pragma" CONTENT="no-cache">
    <meta HTTP-EQUIV="Cache-Control" CONTENT="no-store, must-revalidate">
    <meta HTTP-EQUIV="expires" CONTENT="0">
	<meta charset="utf-8">
	<meta name="renderer" content="webkit">
	<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
	<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
	<meta name="apple-mobile-web-app-status-bar-style" content="black">
	<meta name="apple-mobile-web-app-capable" content="yes">
	<meta name="format-detection" content="telephone=no">
	<link rel="stylesheet" href="/layui/css/layui.css" media="all" />
	<link rel="stylesheet" href="/css/public.css" media="all" />
    <link rel="stylesheet" href="/css/special.css" media="all" />
    <link rel="stylesheet" href="/layui/css/layui.css" media="all" />
    <script type="text/javascript" src="/layui/layui.js"></script>
    <script type="text/javascript" src="/js/pages/customer.js"></script>
    <script type="text/javascript" src="/js/pages/qonto/formData.js"></script>
</head>
<body class="childrenBody">
<form class="layui-form layui-row layui-col-space10">
	<div class="layui-col-md12 layui-col-xs12">
		<div class="layui-row layui-col-space10">
            <div class="layui-col-xs7">
                <fieldset class="layui-elem-field">
                    <legend>上传发票</legend>
                    <div class="layui-field-box">
                        <div class="layui-form-item" style="width: 450px;height:600px;margin-top: 10px;">
                            <img id="pdfImg" width="100%" height="100%" scrolling="no" frameborder="0"/>
                        </div>
                    </div>
                </fieldset>
            </div>
			<div class="layui-col-xs5">
                <!--  hidden -->
                <input type="hidden" class="layui-input id" lay-verify="id" name="id">
                <!--  hidden -->
                <fieldset class="layui-elem-field">
                    <legend>Détails de la facture</legend>
                    <div class="layui-field-box">
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label width_120">Date de dépense</label>
                            <div class="layui-input-block margin-left_150">
                                <input type="text" class="layui-input" name="dateDeDepense" readonly>
                            </div>
                        </div>
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label width_120">Fournisseur</label>
                            <div class="layui-input-block margin-left_150">
                                <input type="text" class="layui-input" name="fournisseur" readonly>
                            </div>
                        </div>
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label width_120">Montant TTC</label>
                            <div class="layui-input-block margin-left_150">
                                <input type="text" class="layui-input" name="montantTTC" readonly>
                            </div>
                        </div>
                    </div>
                </fieldset>

                <fieldset class="layui-elem-field">
                    <legend>Déclaration de la TVA</legend>
                    <div class="layui-field-box">
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label width_120">catégorie</label>
                            <div class="layui-input-block margin-left_150" style="width: 150px;">
                                <select name="customHouse" lay-verify="customHouse">

                                </select>
                            </div>
                        </div>
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label width_120">TVA%</label>
                            <div class="layui-input-block margin-left_150">
                                <input type="radio" name="invoiceRate" id="invoiceRateRadioOne" lay-filter="invoiceRateRadio" value="20%" title="20%">
                                <input type="radio" name="invoiceRate" id="invoiceRateRadioTwo" lay-filter="invoiceRateRadio" value="0" title="Sans TVA">
                                <input type="radio" name="invoiceRate" id="invoiceRateRadioThree" lay-filter="invoiceRateRadio" value="other" title="Autre TVA">
                            </div>
                        </div>
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label width_120">TVA</label>
                            <div class="layui-input-block margin-left_150">
                                <input type="text" class="layui-input" name="invoiceMoney" readonly>
                            </div>
                        </div>
                    </div>
                </fieldset>
                <fieldset class="layui-elem-field">
                    <legend>发票审核</legend>
                    <div class="layui-field-box">
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label">审核结果</label>
                            <div class="layui-input-block">
                                <input type="radio" name="invoiceStatus" value="PASS" title="通过" checked>
                                <input type="radio" name="invoiceStatus" value="REJECT" title="拒绝">
                            </div>
                        </div>
                        <div class="layui-form-item magt3">
                            <label class="layui-form-label">审核备注</label>
                            <div class="layui-input-block">
                                <textarea name="invoiceMemo" placeholder="如果审核拒绝，请输入拒绝原因" class="layui-textarea" style="height: 70px;min-height: 70px;"></textarea>
                            </div>
                        </div>
                    </div>
                </fieldset>

                <div id="submitDiv">
                    <hr class="layui-bg-gray" />
                    <div class="layui-right submitDiv">
                        <a class="layui-btn layui-btn-sm" lay-filter="invoiceReviewBtn" lay-submit><i class="layui-icon">&#xe609;</i>提交审核</a>
                        <a class="layui-btn layui-btn-sm" lay-filter="invoiceReviewBtnAndNext" lay-submit><i class="layui-icon">&#xe609;</i>确定并检查下一张</a>
                    </div>
                </div>
			</div>
		</div>
	</div>
</form>
</body>
</html>
